1891064010 NPI number — UNIVERSITY HEALTH CARE MILLER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891064010 NPI number — UNIVERSITY HEALTH CARE MILLER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY HEALTH CARE MILLER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891064010
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8600 NW 17 STREET
Provider Second Line Business Mailing Address:
SUITE 160
Provider Business Mailing Address City Name:
DORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-207-4443
Provider Business Mailing Address Fax Number:
305-207-4442

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10000 SW 56 STREET
Provider Second Line Business Practice Location Address:
SUITE 29
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-552-0109
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
QUEVEDO
Authorized Official First Name:
MARGARITA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-226-9111

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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